Provider First Line Business Practice Location Address:
AVENIDA LUIS MUOZ MARIN, # 80
Provider Second Line Business Practice Location Address:
HOSPITAL HIMA
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-745-0000
Provider Business Practice Location Address Fax Number:
787-745-1314
Provider Enumeration Date:
12/19/2005